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网络分析在法医患者中的精神病态。

Network analysis of psychopathy in forensic patients.

机构信息

Department of Psychology, Washington State University.

Department of Psychological and Brain Sciences, Texas A&M University.

出版信息

J Abnorm Psychol. 2018 Feb;127(2):171-182. doi: 10.1037/abn0000325.

Abstract

The question of which features represent the most central components of psychopathy remains unresolved and is the subject of considerable debate. Network analysis, which is a relatively new way to conceptualize mental disorders that emphasizes complex causal systems, provides a means to graphically and quantitatively describe the centrality of the various symptoms of a disorder. We applied association and adaptive LASSO networks on two samples of forensic patients. The first sample included forensic inpatients (N = 277) who were administered the Psychopathy Checklist-Revised (Hare, 2003), and the second sample included patients who previously had been civilly committed (N = 1136), who were administered the Psychopathy Checklist: Screening Version (Hart, Cox, & Hare, 1995). The models indicated the items on the affective facet are highly central across both samples and methods, and the item "lack of remorse" was especially central to the networks. Conversely, interpersonal, lifestyle, and antisocial facets generally resulted in low centrality in the models of both samples. Thus, the models lend support to the importance of affective deficits as the primary feature of psychopathy when psychopathy is assessed using the Hare Psychopathy Checklist measures. (PsycINFO Database Record

摘要

哪个特征代表精神病态的最核心成分,这个问题仍未解决,也是相当有争议的。网络分析是一种相对较新的概念化精神障碍的方法,强调复杂的因果系统,它提供了一种图形和定量描述障碍的各种症状的中心性的方法。我们在两个法医患者样本上应用了关联和自适应 LASSO 网络。第一个样本包括接受《精神病态检查表修订版》(Hare,2003)测试的法医住院患者(N=277),第二个样本包括之前被民事拘留的患者(N=1136),他们接受了《精神病态检查表:筛查版》(Hart,Cox 和 Hare,1995)测试。模型表明,两个样本和方法中,情感方面的项目都具有高度的中心性,而“缺乏悔恨”这个项目对网络特别重要。相反,人际关系、生活方式和反社会方面的特征通常在两个样本的模型中导致中心性较低。因此,这些模型支持在使用 Hare 精神病态检查表评估精神病态时,情感缺陷作为精神病态的主要特征的重要性。

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